Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1984-6-18
|
pubmed:abstractText |
To determine the association of aminoglycoside levels with mortality from gram-negative bacteremia, we analyzed the case reports of patients from four prospective, randomized, and controlled clinical trials of gentamicin, tobramycin, and amikacin. Twelve (13.5%) of 89 patients died. One (2.4%) death occurred in 41 patients with early (1-hr postinfusion) peak concentrations of greater than 5 micrograms/ml of gentamicin and tobramycin and of greater than 20 micrograms of amikacin/ml; nine deaths (20.9%) occurred in 43 patients with lower concentrations. Five (8.3%) deaths occurred in 60 patients with mean peak concentrations for the entire course of therapy of greater than 5 micrograms/ml of gentamicin and tobramycin and of greater than 20 micrograms of amikacin/ml; five (20.8%) deaths occurred in 24 patients with lower concentrations. Stepwise discriminant analysis showed that therapeutic early peak concentration was a significant factor in the presence of three other factors: severity of underlying illness, peak temperature, and initial leukocyte count. The results suggest the importance of achieving adequate early aminoglycoside levels in patients with gram-negative bacteremia.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
0022-1899
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
149
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
443-8
|
pubmed:dateRevised |
2007-11-15
|
pubmed:meshHeading |
pubmed-meshheading:6715900-Adult,
pubmed-meshheading:6715900-Aged,
pubmed-meshheading:6715900-Amikacin,
pubmed-meshheading:6715900-Body Temperature,
pubmed-meshheading:6715900-Gentamicins,
pubmed-meshheading:6715900-Gram-Negative Bacteria,
pubmed-meshheading:6715900-Humans,
pubmed-meshheading:6715900-Kanamycin,
pubmed-meshheading:6715900-Kidney Diseases,
pubmed-meshheading:6715900-Leukocyte Count,
pubmed-meshheading:6715900-Middle Aged,
pubmed-meshheading:6715900-Proteus Infections,
pubmed-meshheading:6715900-Sepsis,
pubmed-meshheading:6715900-Statistics as Topic,
pubmed-meshheading:6715900-Tobramycin
|
pubmed:year |
1984
|
pubmed:articleTitle |
The association of aminoglycoside plasma levels with mortality in patients with gram-negative bacteremia.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|